- Henry Ford Health System (Troy, MI)
- GENERAL SUMMARY: Reporting to the Director - Managed Care Contracting , this position is responsible for managing the payor contracting functions for the ... of Henry Ford Health. This position is responsible for leading the Managed Care Contracting team in evaluating, analyzing, and negotiating contract terms… more
- Molina Healthcare (Ann Arbor, MI)
- …EXPERIENCE** : * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly ... matrixed organization. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this… more
- Henry Ford Health System (Troy, MI)
- …EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in Finance, Accounting, Business Administration, Managed Care Contracting , Reimbursement, or related ... GENERAL SUMMARY: Under minimal supervision of the Manager , independently leads financial and data analysis to...to seven (5-7) years of experience in healthcare finance, managed care contracting , or reimbursement… more
- Henry Ford Health System (Detroit, MI)
- …effective communication and cooperation. Routinely collaborates with corporate departments including Managed Care Contracting / Revenue Cycle. . Collaborates ... within a healthcare or clinically integrated network setting. . Strong understanding of managed care contracting language, value-based terms, and regulatory… more
- Molina Healthcare (Ann Arbor, MI)
- …position requiring an in-depth knowledge of provider relations and contracting subject matter expertise to successfully engage complex providers, including ... Resolves complex provider issues that may cross departmental lines including Contracting , Finance, Quality, Operations, and involve Senior Leadership. * Responsible… more
- Molina Healthcare (Troy, MI)
- …in health care field including, but not limited to, provider's office, managed care , or other health care field. **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS ... with large specialty or multispecialty provider groups. * 1-3 Years Managed Care experience **PREFERRED EXPERIENCE** : Knowledge of integrated delivery… more
- Molina Healthcare (Ann Arbor, MI)
- …5 years customer service, provider service, or claims experience in a managed care setting. **Preferred License, Certification, Association** Valid State ... working with key strategic provider partners to improve quality outcomes and Medical Care Ratios (MCR) in support of business objectives. * Serves as a Provider… more
- Molina Healthcare (Ann Arbor, MI)
- …equivalent combination of education and experience **Required Experience** + 4+ years managed care experience + Experience participating in value-based program & ... **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role...supporting both the local markets and national value based contracting team. Ensures smooth communication, supports proposal and counter-proposal… more
- Henry Ford Health System (Troy, MI)
- …Microsoft Word and Excel. #LI-VD1 Additional Information + Organization: Corporate Services + Department: Managed Care Contracting + Shift: Day Job + Union ... Reporting to Director or Manager , assist in the development of Contract Strategy...provider relations or provider reimbursement experience. + Knowledge of managed care organizations and integrated health systems.… more
- Henry Ford Health System (Troy, MI)
- …Bachelor's degree preferred. + Minimum of five (5) years of experience in health care industry, managed care setting in credentialing and re-credentialing, ... and procedures. Assess organizational/ancillary behavioral medicine facilities application before contracting and at least every three years thereafter for… more